Dr. Hector Upegui, Is there a new momentum for disability management? A reflection based on...

© 2014 IBM Corporation

Smarter Social Programs

June 2014

Is there a new momentum for disability management? A reflection based on international observations

Hector Upegui,

IBM Cúram Research

Institute, Germany

© 2014 IBM Corporation 2


2

IBM response to social security/social services

Research & Knowledge

1. IBM Cúram Research Institute

2. IBM Cúram Solution

Specialized application for social security and social services

The IBM Cúram Research Institute and the

IBM Cúram Software are two specialized

structures of IBM responding to social

security and social services



What is the IBM Cúram

Research Institute? The IBM Cúram Research Institute is IBM’s social

policy research arm

Research Focus The Institute's research focuses on the cross-over

from policy to service delivery with the aim of

developing new social business models and the

best practices that they encompass

Mission To foster the development of best practice service

delivery models and evidence-based solutions for

social program organizations

EISS

Bridging the gap between Policy & Citizen-Centered Service Delivery Bridging the gap between Policy & Service Delivery www.ibm.com/curam-research-institute

The Cúram Research Institute creates

cutting edge research in partnership

with:

— Universities with a focus on new social trends

— Multi-lateral agencies

— Think Tanks

— Non-Governmental Organizations




The IBM Cúram Research Institute publishes Thought Leadership papers

The IBM Cúram Research Institute’s research is categorized into the following sections:

Industry Point of Views: Published research undertaken with social enterprises, national and international bodies and partner research organisations

Position Papers: Published papers that describe a specific industry issue and provide opinion on best practices.

Industry Consultations: Input provided by the Cúram Research Institute to public consultations on social policy related issues that reflect policy or service delivery reform objectives.

Client Advice: Advice provided by the Cúram Research Institute to clients on their reform agendas.




To show that:

• Numbers of people with disability will

increase (new cases & visibility)

• Technology is rapidly changing

• Social demands will be higher

• Values are changing

I will use information from:

• Data from some surveys

• International observations

This presentation is about reflecting on disabilitiy

management based on international observations

To ask:

• Is there a new time for

Disability management?



6

7% 2-4% >15%

of people with severe disabilities are children between 0-14

13 m.

of all people with severe disabilities are children between 0-14 years

people have very significant difficulties in functioning

190 m.

of people with disabilities have very significant difficulties in functioning

of the world’s population are estimated to live with some form of disability

> 1 billion

of the world’s population based on 2010 global population figures

Impact of risk factors on moderate and severe disability **

17% 73% of moderate and severe disabilities result from daily life

Disability has to be addressed

* WHO World Health Survey of 2002–2004 and the Global Burden of Disease (GBD) 2004

** IBM Cúram Research Institute based on GBD data-2004 –Years lost to disability (YLD)

10% of moderate and severe disabilities result from occupational risks

of moderate and severe disabilities result from road traffic risks



7

The number of people with disabilities is increasing, mainly for the following reasons/challenges:

The number of people with disabilities is

increasing and will keep on increasing.

The following reasons,

converted in challenges, are the reasons for

that

•Demographic changes

•Chronic diseases

•Behavioral changes

•Shift of traditional to non-

traditional risks (for example

from asbestos to psychological

risks)

•Technological changes (new

risks)

•Armed conflicts and violence

•Demands for economic and

social equality

Challenges



8

The number of people with disabilities is increasing, mainly for the following reasons/challenges:

The number of people with disabilities is

increasing and will keep on increasing.

The following reasons,

converted in challenges, are the reasons for

that

•Demographic changes

•Chronic diseases

•Behavioral changes

•Shift of traditional to non-

traditional risks (for example

from asbestos to psychological

risks)

•Technological changes (new

risks)

•Armed conflicts and violence

•Demands for economic and

social equality

Challenges



Example of a population (demographic changes-Chronic diseases)



Baby Boomers Generation X Generation Y (Millennia) Generation Z

Exercise: Let us assume that we can travel in time to visit a 30 years old

expert from a workers compensation insurance company. What might

be the discussions around occupational diseases diagnosis?

• Cancer

• Lung diseases

• Alergies

• Skin diseases

• Noise-Induced

hearing loss

• Musculoskeletal

• Cancer

• Lung diseases

• Alergies

• Skin diseases

• Noise-Induced

hearing loss

• Psychological

• Musculoskeletal

• Cancer

• Lung diseases

• Alergies

• Skin diseases

• Noise-Induced

hearing loss

• ??????

• Psychological

• Musculoskeletal

• Cancer

• Lung diseases

• Alergies

• Skin diseases

• Noise-Induced

hearing loss

More

dem

andin

g s

ocie

ty

Travel

20 to 30

years

back

Travel

4 to 19

years

back

Travel

4 years

back

Travel

27 years

in the

future



Variety

Volume Velocity

Veracity

of Tweets

create daily

12 terabytes

trade events

per second

5 million

Of video feeds from

surveillance cameras

100’s

“We have for the first time

an economy based on a

key resource

[Information] that is not

only renewable, but self-

generating.

Running out of it is not a

problem, but drowning in

it is.”

– John Naisbitt

Decision

makers trust

their information

Only 1 in 3

We’ve Moved into a New Era of Computing

40 Million books each

of 100 pages per day



The apps use the GPS and compass in your phone to pinpoint your location

and show you where all the surrounding celestial bodies are, even if your view

is blocked. Most of the apps don't even need an Internet connection to function

so you can take them on camping trips.

Just open the app, point your smartphone at the sky, and the app will identify

the planets and stars around you.

“taken from Business insider”



Social Determinants of Return to Work – Prevention over Reaction

• Most of the 20th century’s 30 year increase in life expectancy has been

attributable to public health interventions, e.g. water, food transportation,

workplace safety and smoking reductions

6 miles apart with a

20 year difference

in life expectancy Source: Lloyd B. Minor, M.D. John

Hopkins

Source: Sowad, Barbara J. A call to be whole:

the fundamentals of health care reform, CT. 53

The medical systems treats

people and then sends them

back to the conditions that

made them ill

What are the social

determinants that we

would like to address to

better predict outcomes

from return to work

programs?



More leverage for disability management?

This means Disability Management

new opportunities, new strategies for implementing

Socio-economic demands

Values Technology

Demographic changes (dependency, chronic diseases, job/risks matching), migration

Generations, communication, family and community support, equality,

Adaptive tools and strategies, data management, information

as an asset

Disability

management From prevention

to social inclusion


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Dr. Hector Upegui, Is there a new momentum for disability management? A reflection based on...

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